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Phys Clinical Casesrespiratory

Phys Clinical Cases · respiratory

Pulmonary Vascular Disease AND COR Pulmonale — DCE Clinical Case

DCE long-case and short-case station for Pulmonary Vascular Disease AND COR Pulmonale.

On this page & tools

Target exams

FRACP DCEMRCP PACES

Target exams

FRACP DCEMRCP PACES
Prompt
DCE long-case and short-case station for Pulmonary Vascular Disease AND COR Pulmonale.

Pulmonary Vascular Disease AND COR Pulmonale — Clinical Case

DCE Long Case

Patient brief

Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Pulmonary Vascular Disease AND COR Pulmonale. [1]

Presenting complaint: Subacute or acute symptoms referable to Pulmonary Vascular Disease AND COR Pulmonale, with enough detail to force prioritisation. [1] [2]

Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [2]

Medications: A polypharmacy list that includes at least one interaction or dosing issue. [2]

Examination: Key positives and critical negatives for dangerous differentials. [1]

Investigations: A small set of results that change management. [1] [2]

Tasks

  1. Present a prioritised problem list. [1]
  2. Defend investigations and immediate therapy. [1] [2]
  3. Provide safety-net and follow-up advice. [2]

Model discussion points

  • Working diagnosis and acuity. [1]
  • Differentials and discriminators. [2]
  • Treatment sequence and monitoring. [1] [2] [3]
  • Multimorbidity and communication. [2]

Short case

Focused examination or counselling station linked to Pulmonary Vascular Disease AND COR Pulmonale, with one interpretation task and one shared-decision point. [1] [2]

References

  1. [1]Jimenez D, Bikdeli B, Tapson V, Becattini C, et al. Systematic review of prognostic scores and individual predictor variables for short-term mortality after acute pulmonary embolism Pulmonology, 2026.PMID 42461710
  2. [2]Alfonso DM, Sy JC, Palabrica MC The Apelin-APJ Axis in Heart Failure: Mechanistic Insights, Clinical Evidence, and Translational Challenges Cardiovasc Drugs Ther, 2026.PMID 42455245
  3. [3]Almaimani M, Alamri SA Finerenone Beyond Diabetic Kidney Disease: Emerging Evidence and Potential Systemic Implications J Clin Med, 2026.PMID 42452314
  4. [4]Larsen TB, Flyckt RNH, Henriksen MB, Brasen CL, et al. Cardiovascular risk after cancer in patients with ischemic heart disease or peripheral artery disease Cardiooncology, 2026.PMID 42387666
  5. [5]Cabré F, Cascante M Present and Future Options for Pharmacotherapy in Cardiovascular Disease: Hemodynamic and Mechanistic Therapeutic Targets Med Sci (Basel), 2026.PMID 42346870
  6. [6]Doan HN, Chang MC Comparative Effectiveness of Unstable Versus Stable Resistance Training on Lower Limb Strength, Mobility, and Fear of Falling in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials Am J Phys Med Rehabil, 2026.PMID 42468010
  7. [7]Liu HW, Tsai TL Virtual Reality-assisted Physiotherapeutic Training for Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis Am J Phys Med Rehabil, 2026.PMID 42468005
  8. [8]Osborne AK, Brown RD, Sillence E Effects of Social Media Narratives on Affective and Behavioral Responses to Menopause Content: Randomized Online Experimental Study JMIR Form Res, 2026.PMID 42467962